NR565 Week 5 Endocrine Case Study Latest 2021 December

Question 1Please explain the value and reason for doing your own work and not copying or taking answers from another source and claiming them as your own.

Question 2Use the John Jones case study to answer the following question.

Using diagnostic criteria for diabetes, what is John’s diabetic status?  What treatment plan should be introduced at this time?

Question 3Use the John Jones case study to answer the following question.

Which of John’s behaviors should be addressed to encourage lifestyle changes and decrease A1C levels?

Question 4Use the John Jones case study to answer the following question.

Which behavior in John’s social history poses a potential concern with first line pharmacological treatment for diabetes and why?

Question 5Use the John Jones  case study to answer the following question.

Name the specific names of labs you would order and the intervals at which you would order them to monitor the safety and efficacy of metformin.

Question 6Use the Alfonso Giuliani case study to answer the following question.

Atherosclerotic cardiovascular disease (ASCVD) risk factors include age, gender, race, blood pressure, cholesterol values, history of diabetes, tobacco use, treatment of hypertension, statin therapy, and aspirin therapy.

Look at Alfonson’s ASCVD risk factors.  Should Alfonso be taking something for hyperlipidemia?  If so, what would you recommend? 

Arnett, D. K., Blumenthal, R. S., Albert, M. A., Buroker, A. B., Goldberger, Z. D., Hahn, E. J., ... & Ziaeian, B. (2019). 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology, 74(10), 1376-1414. https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000677 (Links to an external site.)

Question 7Use the Alfonso Giuliani case study to answer the following question.

Which diabetic drug classes should be considered in addition to metformin to prescribe for Alfonso and why?

Question 8Use the Alfonso Giuliani case study to answer the following question.

There are two drug classes to consider for prescribing for Alfonso in addition to metformin.  What baseline data will you need to obtain for each of those drug classes?  Provide the name of the drug class and the baseline data needed for that drug class. 

Question 9Use the Alfonso Giuliani case study to answer the following question.

You decide to prescribe liraglutide (Victoza) in addition to metformin for Alfonso.  What patient teaching do you need to provide when prescribing medication from this drug class?

Question 10Use the Helen Smith case study to answer the following question.

Why is caution indicated if metformin was prescribed for Helen?

Question 11Use the Helen Smith case study to answer the following question.

If the standard starting dose of levothyroxine 1.6 mcg/kg/dose is prescribed for Helen, what is the correct dose? Would this be the correct starting dose for Helen?  Why or why not?

Question 12Use the Helen Smith case study to answer the following question.

Which of the Helen’s lab values require consideration for possible treatment? Provide the lab name and Helen’s result. Use these sources for lab reference values:

https://labtestsonline.org/ (Links to an external site.)

https://www.thyroid.org/wp-content/uploads/publications/lab-services/ata-poc-thyroid-management.pdf (Links to an external site.)

Question 13Use the Helen Smith case study to answer the following question.

Which DM drug class is contraindicated in patients with heart failure and why?

The why portion of this question will require some independent web or article searching to understand why this contraindication exists.  Be sure to cite your sources.